ECU HEALTH NORTH HOSPITAL· ROANOKE RAPIDS, NC
HospitalCMS 2/5
250 SMITH CHURCH ROAD, ROANOKE RAPIDS, NC 27870
Procedures offered
934 total
| Procedure | Min | Avg | Max |
|---|---|---|---|
| Preventive visit new patient age 65+ CPT 99387 • Preventive Care | $123 | $127 | $134 |
| Preventive visit established patient infant CPT 99391 • Preventive Care | $67 | $81 | $105 |
| Preventive visit established patient age 1-4 CPT 99392 • Preventive Care | $78 | $99 | $114 |
| Preventive visit established patient age 5-11 CPT 99393 • Preventive Care | $74 | $80 | $91 |
| Preventive visit established patient age 12-17 CPT 99394 • Preventive Care | $84 | $110 | $148 |
| Preventive visit established patient age 18-39 CPT 99395 • Preventive Care | $87 | $99 | $133 |
| Preventive visit established patient age 40-64 CPT 99396 • Preventive Care | $94 | $129 | $192 |
| Preventive visit established patient age 65+ CPT 99397 • Preventive Care | $112 | $158 | $207 |
| Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care | $0 | $20 | $33 |
| Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care | $54 | $82 | $104 |
| Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care | $236 | $295 | $355 |
| Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care | $197 | $263 | $355 |
| Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care | $89 | $165 | $305 |
| Annual wellness visit initial HCPCS G0438 • Preventive Care | $103 | $174 | $260 |
| Annual wellness visit subsequent HCPCS G0439 • Preventive Care | $70 | $161 | $306 |
| Bronchoscopy diagnostic CPT 31622 • Pulmonology | $186 | $331 | $585 |
| Bronchoscopy with brushing CPT 31623 • Pulmonology | $190 | $306 | $429 |
| Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology | $190 | $252 | $326 |
| Bronchoscopy with biopsy CPT 31625 • Pulmonology | $195 | $308 | $413 |
| Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology | $245 | $391 | $579 |
| Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology | $202 | $849 | $1,628 |
| Ventilation assist and management initiation CPT 94002 • Pulmonology | $72 | $97 | $141 |
| Spirometry CPT 94010 • Pulmonology | $8 | $20 | $32 |
| Spirometry before and after bronchodilator CPT 94060 • Pulmonology | $10 | $36 | $61 |
| Bronchospasm provocation evaluation CPT 94070 • Pulmonology | $20 | $45 | $66 |
| Respiratory flow volume loop CPT 94375 • Pulmonology | $15 | $26 | $34 |
| Cardiopulmonary exercise test CPT 94621 • Pulmonology | $54 | $117 | $162 |
| Nebulizer inhalation treatment CPT 94640 • Pulmonology | $8 | $16 | $29 |
| Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology | $14 | $20 | $28 |
| Plethysmography lung volumes CPT 94726 • Pulmonology | $9 | $44 | $60 |
| Gas dilution lung volumes CPT 94727 • Pulmonology | $9 | $28 | $47 |
| Diffusing capacity (DLCO) CPT 94729 • Pulmonology | $9 | $39 | $60 |
| Pulse oximetry single measurement CPT 94760 • Pulmonology | $0 | $2 | $3 |
| Pulse oximetry continuous overnight CPT 94762 • Pulmonology | $11 | $24 | $40 |
| Radiation therapy planning simple CPT 77261 • Radiation Therapy | $59 | $87 | $110 |
| Radiation therapy planning intermediate CPT 77262 • Radiation Therapy | $88 | $131 | $168 |
| Radiation therapy planning complex CPT 77263 • Radiation Therapy | $129 | $229 | $392 |
| Radiation therapy simulation simple CPT 77280 • Radiation Therapy | $43 | $259 | $421 |
| Radiation therapy simulation complex CPT 77290 • Radiation Therapy | $76 | $420 | $666 |
| 3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy | $262 | $865 | $1,445 |
| Radiation therapy dose calculation CPT 77300 • Radiation Therapy | $37 | $63 | $84 |
| IMRT radiation therapy plan CPT 77301 • Radiation Therapy | $498 | $1,520 | $2,523 |
| Radiation treatment device design complex CPT 77334 • Radiation Therapy | $69 | $110 | $194 |
| Radiation physics consultation CPT 77336 • Radiation Therapy | $64 | $126 | $209 |
| Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy | $982 | $1,319 | $1,639 |
| Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy | $1,025 | $1,668 | $2,334 |
| IMRT delivery simple CPT 77385 • Radiation Therapy | $304 | $348 | $392 |
| IMRT delivery complex CPT 77386 • Radiation Therapy | $305 | $512 | $839 |
| Radiation treatment delivery superficial CPT 77407 • Radiation Therapy | $88 | $190 | $293 |
| Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy | $98 | $280 | $520 |